Nurse handover: patient and staff

experiences
Jane Bruton, Christine Norton, Natasha Smyth, Helen Ward and Sophie Day

C
ommunication, particularly between patients
ABSTRACT and clinicians, has been identified as a key tenet
Aim and objectives: to understand the purpose, impact and experience underpinning ‘patient-centred care’, which is
of nurse handover from patient and staff perspectives. Background: poor ‘determined by the quality of interactions between
communication is increasingly recognised as a major factor in healthcare patients and clinicians’, and ‘encapsulates healing
errors. Handover is a key risk point. Little consensus exists regarding the relationships grounded in strong communication and trust’
practice in nursing but the trend is towards bedside handover. Research on (Epstein et al, 2010).
patient and staff experiences of handover is limited. Design: a qualitative It is increasingly recognised that poor communication is a
and observational study on two acute wards in a large urban hospital in the major factor in healthcare errors, with handover a major risk
UK. Methods: interviews conducted with patients and staff and observation point leading to poor patient experience and having an impact
of handovers, ward rounds and patient–staff interactions. Results: diverse on both patient safety and clinical outcomes (Neale et al, 2001;
forms of nurse handover were found, used in combination: office based British Medical Association (BMA) Junior Doctors Committee,
(whole nursing team), nurse in charge (NIC) to NIC, and bedside. Patients’ and 2004; Australian Commission on Safety and Quality in Health
nurses’ views concurred on the purpose of bedside handover—transference Care, 2012).
of information about the patient between two nurses—and about the medical
ward round, which was seen as a discussion with the patient. Views diverged Background
regarding the purpose and value of office handover. Bedside handover differed Clinical handover is a routine communication event occurring
in style, content, and place of delivery, often driven by concerns regarding across a range of clinical settings and has been defined for
confidentiality and talking over patients, and there were varied views on the doctors as:
benefits of patient involvement in bedside handover. Nurses worked beyond
their shift end to complete handover. Communication problems within the
‘The transfer of professional responsibility and
clinical team were identified by staff and patients. Conclusions: while it
accountability for some or all aspects of care
is important to agree the purpose of handover and develop appropriate
for a patient, or group of patients, to another
structure, content and style, it need not be a uniform process in all clinical
person or professional group on a temporary or
areas. Nurse training to deliver bedside handover and patient information on
permanent basis.’
the purpose of handover and the patient’s role would be beneficial.
(BMA Junior Doctors Committee, 2004).

Key words: Nurse handover ■ Patient experience ■ Patient involvement This definition seems to apply equally well to nursing
■ Bedside handover ■ Ward round ■ Communication
handover, which is central to nurse communication (National
■ Nurse–patient relationship
Nursing Research Unit, 2012). It is recognised as a complex
and dynamic interaction (Kerr, 2002) and yet there remains
little consensus regarding its primary function, its location and
structure (Anderson and Mangino, 2006; Street et al, 2011; Gage,
2013). In the UK and internationally there is a move towards
Jane Bruton, Clinical Research Manager, Patient Experience nurse handover at the bedside as part of the patient-centred care
Research Centre, Imperial College London agenda; however, there is some evidence that suggests patients
Christine Norton, Professor of Clinical Nursing Research, King’s may still not be involved in the process (National Nursing
College London and Imperial College Healthcare NHS Trust Research Unit, 2012; Gage, 2013).
Natasha Smyth, Research Assistant, Wellcome Trust Centre for There are few studies that describe the experience of
Neuroimaging, Institute of Neurology, University College London handover from the patient perspective (Lu et al, 2014). Cahill
(1998) discussed the patients’ lack of confidence and clarity of
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Helen Ward, Professor of Public Health, Imperial College London

their role in handover as being a barrier to involvement while
Sophie Day, Visiting Professor of Anthropology, Patient Greaves (1999) highlighted that patients saw bedside handover
Experience Research Centre, Imperial College London
as enhancing communication about their condition. Involving
Accepted for publication: March 2016 patients in handover is appreciated and valued by some patients
and perceived as enhancing individual care (McMurray et al,

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 RESEARCH

2010; Maxson, 2012; Kerr et al, 2013; Bradley and Mott, 2013) interviewed.All participants gave written consent.The interviews
but nurses seem to have greater concerns regarding confidentiality were recorded and transcribed verbatim by a professional
during bedside handover than patients, which can lead to ‘bedside’ transcriber. The transcriptions were read and re-read by two
handover happening elsewhere, excluding patients from decision- authors and coded using a pragmatic thematic analysis (Fereday
making about their care (Kerr et al, 2013; Anderson et al, 2014). and Muir-Cochrane, 2006). Data were managed using NVIVO.
Johnson and Cowin (2013) recognised the challenge for nurses Verbatim quotes are indicated as such in the results section.
moving to bedside handover: whether it is always appropriate The study was approved by NRES Committee South West-
in certain specialties or with some models of nursing care and Frenchay Ethics committee (reference number 124328).
whether nurses’ communication skills are adequate for bedside
handover. However, despite the challenge of engaging patients Setting
in the handover process they concluded that it ‘supports notions The medical ward had 23 beds and the surgical ward 26 beds
of patient-centred care and the delivery of information at the (including a 4-bed high-dependency unit). Both wards had a
point of care’. Despite recent studies, it has been argued that the mixture of multi-bed bays and single-bed rooms. On the medical
impact of the different methods of handover on nursing care and ward each day there were three MDT meetings, two medical
patient outcomes remains unclear (National Nursing Research ward rounds (morning and afternoon by a single medical
Unit, 2012; Smeulers et al, 2014). team) and two nurse handovers between day and night staff.
The aim of this research was to understand the purpose, The surgical ward had two MDT meetings and one academic
impact and experience of nurse-to-nurse handover from both meeting weekly, two surgical ward rounds daily (both in the
patient and staff perspectives and the perceived differences morning, two surgical teams) and two nurse handovers daily.
between nurse handover and medical ward rounds. Communication within the MDT was predominantly verbal
and there was shared electronic and paper patient records and
Methods clinical documentation. Daily jobs diaries, held at the nurses’
A qualitative study was conducted on two acute wards at a stations, were used for communication between staff on both
large UK trust: one medical and one surgical, both with a rapid wards.The medical ward hosted an MDT meeting prior to the
turnover of patients and predominately emergency admissions. ward round every morning.The allied health professionals (AHPs)
Researchers conducted semi-structured interviews with staff (physiotherapists, speech and language therapists, dieticians and
and patients exploring their experience of communication. occupational therapists) on the medical ward used information
Interviews covered: boards at each patient bed recording mobility, eating and drinking.
■■ The structure, methods and effectiveness of communication All nurses worked 12-hour shifts. Both wards had an NIC of
within the multidisciplinary team (MDT) and between staff each shift who was supernumerary on the day shift only, staffing
and patients levels permitting. Most communication between nurses happened
■■ The perceived purpose of the medical ward round and nurse informally but there were two points in the day when information
handover was formally handed over from the outgoing to the incoming
■■ The views of staff and patients regarding the role of the shift: at the morning and evening handover.
patient in ward rounds and nurse handovers
■■ Their rating of care on the ward if/when they completed Results
the Family and Friends Test (FFT). Structure of nurse handover
Participants were selected using convenience sampling.The Several methods of nurse handover were used in combination.
criteria for selection for patients were: they must be well enough The surgical ward had an office-based handover for all staff on
to sustain an interview of at least 30 minutes, able to give written the incoming shift delivered by the NIC of the outgoing shift.
consent and to read and speak English. The nurse in charge The medical ward had handover at the nurses’ station, where
(NIC) of the shift advised the researcher which patients were the outgoing NIC handed over to the incoming NIC and the
eligible for interview. Those patients were approached by the healthcare assistants. Both wards used a bedside handover where
researcher, given a participant information leaflet and either the nurse managing a group of patients handed over to the nurse
interviewed on the day or at a mutually convenient date. All taking over their management. On the medical ward, bedside
staff were eligible for participation, they were informed of the handover was simultaneous with the NIC handover. On the
study through staff meetings, email and fliers and participants surgical ward, it happened after the office-based handover. No
were selected according to availability and willingness to be set structure of bedside handover practice was observed and
interviewed when the researchers visited the ward or by prior the location, style and content appeared to vary according to
arrangement at a time that suited the ward rota. individual preference on both wards. ‘Bedside handover’ did
Researchers conducted observations of the ward routine not always take place at the bedside but happened outside the
including staff/patient interactions, joined four ward rounds room if the patient was in a single-bed room and some staff
© 2016 MA Healthcare Ltd

and attended 12 nurse office or station handovers, 3 MDT chose to handover in the middle of or outside the multi-bed bay.
meetings and 12 bedside handovers. Field notes were taken of Healthcare assistants did not participate in the bedside handover
all observations and used as part of the analysis. on the medical ward whereas on the surgical ward they chose
In total eight patients, ten nurses, one student nurse, three which bedside handover to attend as they were allocated to two
healthcare assistants, one doctor and one physiotherapist were bays, for which the handovers were simultaneous.

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 There appeared to be no guidelines for handover on either with no consistent format or content for handover. Both staff
ward and no common practice. Staff expressed concerns and patients agreed the bedside handover was for information-
regarding confidentiality, discomfort at talking about a patient sharing between nurses but views varied regarding the role of
in front of them, lack of privacy leading to divulging sensitive the patient within handover.The researchers observed that the
information, and time pressures associated with patient variations of style affected the degree of patient involvement.
involvement in handover. These concerns appeared to reflect Some nurses spoke with hushed voices, looking down at the
different levels of confidence and experience in managing charts at the end of the bed and not engaging the patient, while
patient involvement as one senior nurse explained: others stood by the head of the bed, spoke in normal tones and
occasionally asked the patient questions or responded to their
‘You’re running the risk of someone telling you
concerns. Other nurses were not at the bedside for handover.
their life story, but there’s ways of dealing with
Nurses identified the advantages of bedside handover as:
that … say “Is it okay if I come back and talk to
■■ Introduction of the nurse coming on shift to the patient
you in a few minutes?”’
■■ Asking the patient how they are
(Senior nurse, participant 12)
■■ Visually checking the patient and the charts
The only common tool used for the office and NIC handover ■■ Opportunity to ask questions of the nurse handing over
was a printed sheet from the electronic bed-management system. ■■ Continuity of information and safety
However, clinical care information on this system is limited; ■■ Patient hearing the handover
no other recognised tools were observed. ■■ Patient opportunity to correct misinformation/ask questions.
There is only a 30-minute overlap of shifts and, as handover
‘I think some like hearing what their story is
seldom starts promptly, most shifts routinely finish late. Nurses
… and you can ask them directly anything you
are generally working overtime to complete handover, which
have in doubt.’
is problematic at the end of a busy 12-hour shift.
(Staff nurse, participant 2)
Purpose of nurse handover
‘They [nurse] say “obs are stable” … they might
Interviews explored the purpose of the three types of handover.
not match what the obs are saying. You need to
Staff identified different purposes of each but all were viewed
see.’
as formal information-sharing between nurses.
(Senior staff nurse, participant 10)
Office-based and NIC handovers
‘I guess a patient could jump in, if they feel like
The office-based handover was for general overview of all the
something hasn’t been said right, just to correct
patients and the ward, including the bed state, admissions and
them.’
discharges. Nurses felt a general overview was helpful when
(Healthcare assistant, participant 6)
they were covering other nurses’ patients, particularly when
approached by relatives or other staff for information. In addition Despite identifying several advantages of bedside handover
the NIC gets a complete picture of the ward. most nurses still saw the patient’s presence as passive.
From the researchers’ observations, office handover served as The disadvantages identified were:
catch-up time on education, trust updates, informal debriefing and ■■ Talking over the patient
day-to-day team support. Staff commented that office handover ■■ Breaching confidentiality
often took too long; the allocation of patients happened at the ■■ Patient interrupting and slowing down handover
wrong time, i.e. at the end of handover, and the content was too ■■ The patient hearing what was discussed.
detailed or repetitive and clashed with the ward rounds:
‘It’s not nice to hear two people there, talking
‘Do they find it useful? I think they probably about them as if they weren’t there. It’s better
do … it’s probably a bit ritualistic … if people to talk directly to them. If that was me, because
have had a stressful time that handover can be a I’ve been a patient myself, I’d think it was rude.’
release for them.’ (Healthcare assistant, participant 7)
(Senior nurse, participant 12)
‘You don’t want other patients to hear or the
The NIC handover on the medical ward served the same
patients themselves to hear.’
purpose as the office-based handover but only between the
(Staff nurse, participant 1)
NICs. However, several staff on this ward said that they had
experience of office-based handovers elsewhere and preferred
‘I don’t know what more the patient can really do
bedside handovers only, as they were less time consuming.
© 2016 MA Healthcare Ltd

without slowing down the process, and breaking

it up, and making it seem a bit more confusing.’
Bedside handover
(Staff nurse, participant 4)
During the bedside handover nurses used the charts to share
relevant clinical information about each patient—current Some of the more senior nurses, who recognised this tension
health status, care, medications, and outstanding issues—but between involvement and ‘talking over’, felt that it was possible

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 RESEARCH

for the nurse to explain what they were doing and that patients And some thought involvement could be a distraction for
would understand. the nurses:
The healthcare assistants were partially or wholly excluded
‘It’s their job to communicate with each other
from the bedside handover process, which is a potential risk:
and concentrate on what they’re doing than
‘The other day one of the nurses didn’t inform trying to involve me when I don’t need that.’
me, at all, about what was going on in the bay; (Patient 8)
like which patients were going home, and who
One patient described the nurse handover as a ‘dialogue in
was coming in. So I was just baffled when they’d
[his] presence’ but he felt he could easily interrupt if necessary
left, and someone new came in. When I got back
(patient 1). There was general consensus on feeling able to
from my break, I was just like, “Where’s she
interrupt if something erroneous was said.
gone?” She was like, “She’s gone home.” So I
However, one patient explained how involvement was not
think sometimes, people forget to tell you things,
always possible even if he had wanted it:
or just feel, maybe, you don’t need to know.’
(Healthcare assistant, participant 13) ‘I was aware. I was less able to get involved
because I just wasn’t with it.’
(Patient 3)
Patient experience of handover
All staff could describe the handover process but this was not There were some negative experiences of handovers either
the case for all the patients who were interviewed. Most patients being intrusive at the bedside or taking nurses away from the ward:
were aware, sometimes after prompting, of the ‘bedside handover’
‘You could ring and ring and ring, and nobody
but were unaware of the office or station-based handover as
would come. They were all too busy with
they were out of sight, and they were not told about it.
the handover.’
Patients said they felt reassured when staff clearly knew about
(Patient 5)
them. Equally, they felt insecure if the nurse did not appear to
know about their care or treatments:
‘Sometimes handover, I was asleep, many times
‘It gives you a bit more security knowing that they wake me up …’ (Patient 7)
everybody knows everything that is going on.’
(Patient 3)
Medical ward rounds
Patients’ views and experience of involvement in handover Patients described the medical ward round as an exchange
varied. Some felt involved in the handover: between doctor and patient, not information-sharing between
professionals. Patients were aware of the purpose and format, and
‘They talk to you. They make sure that
expected to be seen daily at roughly the same time although
everything is alright. Most of them are
sometimes consultants ‘dropped in’ unexpectedly. In contrast
introduced to you.’
to nurse handover, all patients reported feeling involved and
(Patient 6)
well informed:
While others wanted to be more involved than they were,
‘They are talking to me, and asking me
suggesting that nurses should do the handover at the bedside:
questions. Yes, certainly, I am totally involved.’
‘If there was a deliberate effort to do a handover (Patient 5)
while I was listening in, and they were just at the
Nurses were not always present on doctors’ ward rounds.
end of the bed, I think that would be quite good.’
Views varied from patients and nurses about how much the
(Patient 3)
nurses were kept informed. Notes were written but not verbally
communicated or vice versa.This gap may be connected to the
‘Yes. I’d feel like I was involved in the
absence of a nurse on the ward round. Nurses were frustrated
conversation if the handover was here. When it’s
by the lack of communication:
over there they are just doing their jobs.’
(Patient 4) ‘“Okay we’re making our plans for you to
go home later in the week” and they say “the
Some patients wanted to hear the handover on their
doctor told me I could go home”. They see
condition but not be involved:
this massive non-communication between us
whereas if the nurse is there on the ward round
‘Yes. I see what’s happening is they explain in
© 2016 MA Healthcare Ltd

everyone is in the know.’

detail so sometimes I forgot what’s happening
(Senior nurse, participant 12)
to me through the night or I am not aware. So
when I hear her say “X”, last did this, this, this, Nurse involvement is a logistical and workload problem;
so I learn something about myself.’ the two surgical ward rounds happen simultaneously and often
(Patient 7) clash with the nurse handovers, making participation impossible.

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 The NIC had to choose which round to join or sometimes This patient spoke of his experience of nurses not knowing
neither if he or she was in handover. Patients commented on about new drugs prescribed or investigations planned. Both staff
the adverse impact of the clash of handover and ward rounds and patients on the surgical ward suggested that communication
on communication. Patient care priorities usually restricted and the patient experience would be enhanced if the NIC
participation of the bay nurse excluding them from reporting was always on the ward round. The researchers observed that
changes and hearing the update on patient care and treatments: the NIC on the medical ward attended a large MDT meeting
every morning where she fed back changes in the patients’
‘I usually prefer to go round if it is my patients
condition to the MDT and was updated on results, treatment
… I think it is quite important … just so you
and planned investigations. She then informed each nurse of
are up to date with information.’
any updates relevant to their patients.
(Staff nurse, participant 5)
Finally, the researchers conducted one joint interview with
The presence of the NIC on the ward rounds was critical a patient and his wife and spoke with some partners/relatives
for their role as the ‘go-between’/’information sharer’ between informally during visits. Patients were very appreciative that
nurses and doctors, and between doctors and patients/relatives. their partners had been kept well informed, including being
Ward round timetabling, to avoid the clashes and enable NIC rung at home by staff with updates.
participation, was under discussion towards the end of the study
although no resolution had been reached at that time. In contrast, Overall rating of experience
nurses reported excellent communication with AHPs both Most patients reported anxiety about coming into hospital
verbal and written: because of negative press coverage but were in fact generally
satisfied with their overall care. All participants were asked to
‘They [AHP] are brilliant because they would
rate the ward using the FFT.They were either ‘likely’ or ‘highly
look for you, even on your break.’
likely’ to recommend the ward to friends or family:
(Staff nurse, participant 1)
‘We couldn’t have been treated better if we were
the king and the queen of a country. I mean
Patients’ experience of general communication
that sincerely.’
Patients described how important it was to them to be kept
(Patient 6)
informed of changes in their condition, treatments and care.
Nurses on the surgical ward felt that care and patient
‘There’s nothing worse than not knowing.’
experience had improved since a recent increase in staffing and
(Patient 4)
the appointment of a new ward manager.This improvement was
In general patients were happy with the depth and clarity of reflected in the ward’s monthly patient experience survey results.
staff communication and found it easy to obtain information:
Discussion
‘I just asked the nurse and she found out for
This study showed, as with Lu et al (2014), that patients wanted
me. Or she went and asked someone else and
information about their condition on a regular basis. The
they came in and got what I wanted, yes, with
opportunities for information-receiving were generally at set
the answers.’ (Patient 3)
times, primarily via ward rounds but also, for some patients,
the nurse handover. Otherwise information had to be sought
‘They were brilliant … explaining everything
by patients through asking questions. Most patients who were
really well and really clearly about what’s going
interviewed were willing and able to ask questions but this may
wrong in plain English.’ (Patient 4)
not be the case for all patients, particularly the more vulnerable
However, the rigidity of the ward routine, for example, or those not fluent in English.
test results were given on ward rounds, sometimes impacted The researchers observed variations in practice and a lack
negatively on patient experience. One patient suggested: of consensus on the purpose and format of nurse handover.
Although nurses were critical of the office handover, some
‘Just having a 5-minute conversation with
identified benefits and, as with the findings of Hopkinson
someone at the end of the day would have
(2002), the researchers observed that handover was a time to
stopped all of that anxiety for the people certainly.’
express opinions and feelings and to debrief. Staff had varied
(Patient 4)
views about the role of bedside handover and the involvement
This patient went further in suggesting that ‘mini updates’ of patients. As in other studies, there were concerns about the
every 2 hours would be helpful. time and confidentiality associated with patient involvement
Some patients observed a lack of communication between staff: (Anderson and Mangino, 2006;National Nursing Research
© 2016 MA Healthcare Ltd

Unit, 2012). Nurses’ concerns about confidentiality resulted

‘I don’t see a great deal of work between the in nurses undertaking ‘bedside handover’ not at the bedside
doctors and the nurses. I don’t see a great deal (Johnson and Cowin, 2013). However, it is seen as possible
of communication between them.’ and beneficial to involve patients in handover (Anderson and
(Patient 5) Mangino, 2006; Laws and Amato, 2010) and is a further step

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 towards patient-centred care (Johnson and Cowin, 2013). Senior may have excluded some of the more vulnerable patients who
nursing staff remarked on the competence, experience and would be expected to be inpatients in an inner city hospital.
confidence needed to involve patients in handover; this concern The researchers relied on clinical staff to identify the patients
was highlighted by patients in the study by Lu et al (2014) for who were ‘fit enough’ to be interviewed, which also may have
which they suggested providing the relevant training. introduced a bias by excluding the most unwell patients.
Although the researchers found that patients’ views on
involvement in bedside handover varied, the present study concurs Conclusions
with Lu et al (2014) in the finding that patients valued bedside It may not be necessary to introduce a standardised handover;
handover as an opportunity to receive information, to correct different wards and specialties have different needs. However,
errors and give additional information regarding their condition. the purpose of each communication can be agreed and
Patients’ perception of the quality of communication and clarified with all professionals. The medical ward round
interaction during their hospital stay was also varied. Experience enables communication within MDTs and with patients. The
was far more nuanced than a simple ‘good’ or ‘poor’, and all nursing group/management handover is for nurse managers to
participants cited a range of experiences. Despite the high communicate with each other and their teams. Bedside handover
ratings given, this variation may make it hard for patients to is for one-to-one nurse communication about an individual
make simplistic choices when asked to rate their experience, patient, preferably with the involvement of the patient. The
via tools, such as the FFT, which yield insufficient material to teams need to address the communication needs of healthcare
guide the health service to improve experience. assistants regarding bedside handover.Teams need to agree their
Recommendations for clinical practice at handover focus on model of handover and develop the structure, content and style
three aspects, suggesting that handovers should be standardised, accordingly. The use of existing mnemonics or tools could be
structured, and in written form. Mnemonics are thought to have considered.
a role in improving the quality of handover (Riesenberg et al, Ward-level training for nurses to develop competence
2009; Spranzi, 2014) although the researchers did not observe and confidence in bedside handover will be useful. Patient
their use during the study.The Cochrane review by Smeulers et information, in plain English, on the purpose and timings of
al (2014) suggested that, based on current knowledge, handovers handovers/ward rounds and their own role within them, is
should also be face-to-face and involve patients. Handover is important to promote patient-centred care. Efforts are required
recognised as a critical time in patient care. The quality and to ensure that medical ward rounds and nurse handover do not
content of handover has major implications for patient safety, clash. Confident, clear, proactive communication by staff at
and influences both patient and staff experience. times and in formats clearly understood by the patient would
Twelve-hour nursing shifts mean that the outgoing shift reassure patients that staff know what is happening to them,
is always due to go off duty after handover, which is not the and why, and enhance their experience.
case for the middle shift in a three-shift system, where there The findings will be used to inform the future development
is built-in overlap. This change in shift patterns across much of nurse handover and to guide patient involvement as part of
of the NHS may have made handover more pressurised. This the trust’s strategic aim to improve communication. The trust
pressure adds to professional anxiety about handover (Wong is developing a nurse handover module for its forthcoming
et al, 2008). Mnemonics and structured handover may help electronic patient record and these findings have informed the
ameliorate the pressure and streamline the process. format and content. BJN

Limitations Declaration of interest: none

This study was conducted in a single trust and only two wards.
Practice elsewhere may be different.There was no interpreting Acknowledgements:This study was funded by Imperial College
service available to the study, due to limited funding, which Healthcare Charity

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Develop your management and team building

skills with this concise,
practical book
About the book
Working in a team

Good teams display high levels of motivation and enthusias

m and energy for the work, its
members are fired up with enthusiasm and with both
physical and mental energy, and are
Jean Bayliss creative about the interventions provided for patients
they model their care for patients by supporting and
and those closest to them. Moreover,
caring for each other. How could this
mutuality not benefit patients? Who would not want
to be part of such a dynamic force?

This book aims toThis offer an toinsight

book aims into
offer an insight intowhat makes teams work. In
A workbook to successful dynamics

what makes teams work. In this text you are offered

the opportunity to reflect on various points as you proceed,
this text you are offered
your commen the opportunity
ts if you to refl ect on various
and spaces are left points
wish, or you might prefer to keep a reflective journal.
for you to write
Whether you are a
as you proceed, and spaces
team leader or a teamare leftreflfor
member ectingyou
on yourto
rolewrite your
and contribut ion tocomments
your care team will
help to bring the insight which is critical for the care
if you wish, or you• might prefer to keep a reflective
What is a team
provided.journal.
Topics coveredWhether
include:

you are a team leader or aon inteam

• What goes a team member reflecting on your role and
• What makes for effective teamwork and what are
contribution to your careip team
• Leadersh and managem willenthelp
of a teamto bringthethe insight
obstacles ? which is
critical for the care provided.
• Working Topics covered include:
with conflict
• Effective negotiation
• Developing as an individual
 What is a team•

Working in a team
Integrating new members
 What goes on •inEnhancin
a team g the team’s effectiveness to enhance patient care

About
 What makes for the author
effective teamwork and what are the obstacles?
Jean Bayliss is a counsellor, counsellor trainer, clinical
supervisor, and former Head of Adult
 Leadership and
and management
Community Education of a team
A workbook to successful dynamics
 Working with conflict
 Effective negotiation
 Developing as an individual
*Low cost for landlines and mobiles

 Integrating new members ISBN 1-85642-368-9

 Enhancing the team’s effectiveness to enhance patient care

Jean Bayliss

ISBN-13: 978-1-85642-368-7; 234 x 156mm, paperback; 150 pages;

publication 2009; £19.99 9 781856 423687
© 2016 MA Healthcare Ltd

www.quaybooks.co.uk Jean Bayliss

Order your copies by visiting
WorkingTeamPC.indd 1
or call our Hotline
www.quaybooks.co.uk +44 (0) 333 800 1900* 16/4/09 16:38:34

British Journal of Nursing, 2016, Vol 25, No 7 393

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